Tuberculosis remains a major public health problem in India with the
country accounting for one-fifth or 21% of all tuberculosis cases
reported globally. The purpose of the study was to obtain an
understanding on pro-poor initiatives within the framework of
tuberculosis control programme in India and to identify mechanisms to
improve the uptake and access to TB services among the poor.
A national level workshop was held with participation from all relevant
stakeholder groups. This study conducted during the stakeholder workshop
adopted participatory research methods. The data was elicited through
consultative and collegiate processes. The research study also factored
information from primary and secondary sources that included literature
review examining poverty headcount ratios and below poverty line
population in the country; and quasi-profiling assessments to identify
poor, backward and tribal districts as defined by the TB programme in
Results revealed that current pro-poor initiatives in TB control
included collaboration with private providers and engaging community to
improve access among the poor to TB diagnostic and treatment services.
The participants identified gaps in existing pro-poor strategies that
related to implementation of advocacy, communication and social
mobilisation; decentralisation of DOT; and incentives for the poor
through the available schemes for public-private partnerships and
provided key recommendations for action. Synergies between TB control
programme and centrally sponsored social welfare schemes and state
specific social welfare programmes aimed at benefitting the poor were
Further in-depth analysis and systems/policy/operations research
exploring pro-poor initiatives, in particular examining service delivery
synergies between existing poverty alleviation schemes and TB control
programme is essential.
Kamineni, VV.; Wilson, N.; Das, A.; Satyanarayana, S.; Chadha, S.; Sachdeva, KS.; Chauhan, LS. Addressing poverty through disease control programmes: examples from Tuberculosis control in India. International Journal for Equity in Health (2012) 11 (1) 17. [DOI: 10.1186/1475-9276-11-17]
Addressing poverty through disease control programmes: examples from Tuberculosis control in India.